Summary
An elderly woman presented with diarrhoea two years after total gastrectomy for carcinoma of the stomach. The cause of the diarrhoea was due to spread of gastric adenocarcinoma cells along the alimentary tract as far as the rectum and causing diffuse thickening of the gut. This unusual method of spread may be related to the histological type of carcinoma and is a rare cause of post-gastrecomy diarrhoea.
References
d'Abadie, F. A. and Goodman, M. L. 1962. Linitis plastica carcinoma of colon. Arch. Surg. 84, 686.
Fernet, P., Azar, H. A. and Stout, A. P. 1965. Intramural (tubal) spread of linitis plastica along the alimentary tract. Gastroenterology. 48, 419.
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McDonald, G.S.A. Intra-mural intestinal spread of gastric carcinoma. I.J.M.S. 147, 76–78 (1978). https://doi.org/10.1007/BF02939375
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DOI: https://doi.org/10.1007/BF02939375